Counseling Approach To Motivational Interviewing

MI therapists prize the client when they are with the client. As in Person-Centered therapy, the client is regarded as the expert of his life. Within the client lies the will to change if it can be adequately identified and then encouraged to come out. Once encouraged and heard, the will to change can then be involved in planning a change. Carl Rogers developed a therapy method that trusted the client. His person-centered approach began with the client receiving and benefiting from a special status conferred upon him by the therapist. This theoretical approach pivots around the idea that clients have the ability to

Motivational interviewing is a way of conducting and occupy the essential motivation within the client in order to change behavior. It is “an efficient and collaborative style of clinical interaction that can boost the effectiveness of the therapeutic alliance” (Jellinek, Henderson, Dilallo, & Weiss, 2009, p.108). Motivational

The idea of motivational interviewing builds on Rogers' theories about people having freedom of choice and changing through the process of self-actualisation (Davidson, 1994). Miller and Rollnik (1991) describe it as a technique in which the heath practitioner becomes a helper in the change process while expressing acceptance of their client. A central goal of motivational interviewing, says Geldard & Geldard (2012), is to help resolve the ambivalence which prevents clients from realising their personal goals and to facilitate positive change. Motivational interviewing is mostly utilised to counsel those troubled by addiction (not just substance, but also behaviours).

Solution-Focused Interviewing, The Transtheoretical Model, and Motivational Interviewing are three approaches used by practitioners to assist and guide people in changing their behavior. Each approach has its own format and process and this paper will compare and contrast some similarities and differences between these three approaches. This will be done by looking at five client scenarios and comparing and contrasting them with the approaches. The five client scenarios are; the client who wants something and sees themselves as part of the solution, the client who says someone else needs to change, the client who seems uninterested or resistant to changing, the client who wants what is not good for them and finally the client who does not seem to want anything.

The spirit of motivational interviewing (MI), which entails collaboration, evocation and autonomy, is the fundamental approach to elicit intrinsic motivations (1, 2). Throughout the video, the therapist appears to have applied the MI spirit in accordance with Miller and Rollnick (2). The therapist firstly created an encouraging atmosphere for change by monitoring and accommodating the client’s aspirations (collaboration). The therapist then evoked the client’s motivation through their perceptions, goals and values (evocation) and also informed about the right for self-direction leading to commitment to change (Autonomy). However, to sustain the MI spirit, a breakdown of the requirements will be discussed below.

I spent endless hours studying psychology books and learning about biochemistry. I discovered that the makeup of an individual was a result of a complex combination of one’s social environment and the composition of one’s brain. All of this self-taught knowledge now only distracted me from the disastrous circumstances around me gave me a clear picture of where my place was in the world; to pursue a career in Mental Health. As unfortunate as the circumstances were, this was the time in my life where I had the opportunity to communicate with families of ailing loved ones and the patients themselves. My passion for interacting and understanding stemmed from my early childhood exposures to people in these types of settings. Instead of isolating myself from the world, these observations didn’t diminish my dream of being a Mental Health Counselor but strengthened it. I instantly gravitated towards listening to other people 's problems and offered suggestions on how to deal. More importantly, I discovered the immense feeling of satisfaction garnered when I was able to support others in need. Considering the positive feedback I received, I was certain that being a Therapist of some kind was what I am suited to do with my life and that it is my calling. Whether it is close friends, family, or just peers, I am constantly willing to lend an ear, now and then. Even if I did not feel adequate proposing

This closely simulated a patient interaction with candid answers and the presence of other family members. It was most challenging to calculate the responsive statement to use while maintaining the direction of the interview. Motivational interviewing techniques employed in this interaction include the use of open ended questions to encourage change talk from the patient, affirmation of the patient’s honesty and accountability, reflective statements to show active listening and to illicit further change talk from the patient, and the use of summarization to communicate the patient’s identified growth (Miller & Rollnick, 2013). Transcending these techniques was the spirit of motivational interviewing that communicated acceptance to the patient, guiding versus directing communication, and the support of self-efficacy (Miller & Rollnick, 2013). This was done by first asking permission to discuss the topic and was then carried through the

Motivational interviewing recognizes and accepts the fact that clients who need to make changes in their lives approach counseling at different levels of readiness to change their behavior. During counseling, some patient may have thought about it but not taken steps to change it while some especially those voluntarily seeking counseling, may be actively trying to change their behavior and may have been doing so unsuccessfully for years. In order

Combined Motivational Interviewing and Cognitive-Behavioral Therapy with Older Adult Drug and Alcohol Abusers is an article written by Lyle Cooper concerning the abuse or misuse of illicit drugs, prescription medications, and alcohol in older populations. Due to lack of knowledge or resources, elderly individuals are falling victim to substance use problems and the numbers are projected to rise. Therefore, an assistance program called HeLP was created to provide evidence-based treatment to the specific cohort of 50 and up age range. Motivational interviewing is used to eliminate internal uncertainties clients may have concerning their treatment; hence, opening themselves up to behavioral changes. Clients who decide to move on to the next stage and if HeLP workers deem it necessary, cognitive-behavioral therapy is implemented to promote changes in thoughts, behaviors, and prevention of future relapse.

Having been recently introduced this style of therapy, I became curious to apply my newfound knowledge during the first session with my new client. Like most people, I learn best by doing. The literature that I have read describing MI has not been as descriptive of a real-life session as I would like for it to be. So, closely observing how a counselor guides a conversation with a client, paying meticulous attention to body language and nuanced facial expressions, has been tremendously helpful in my understanding of how these kind of interventions can

Bri Crowl is a Licensed Professional Counselor, that agreed to volunteer her time to participate in my workshop. She would be working with students in groups for the discussion portion of the workshop. Bri’s educational background begins with her attending Portland State University, where she received a Bachelor’s degree in criminology and the criminal justice system. She continued her education and received her Master’s degree in clinical mental health counseling at Walden University. She currently works in Kerrville, Texas with a company called K’star, as a family specialist. She has a previous work experience, as a counselor at New Hope Counseling center, outreach consultant at a youth family services center. As well as experience as a therapeutic

Motivational interviewing is a counseling approach that was studied and understood as an applicable theory of practice that would be beneficial in the environment where I currently work which is an alcohol treatment facility. Whereas, it is understood that clinical and applied aspects of Motivational Interviewing (MI) have shown effective as a relatively brief intervention (Levensky, Cavasos, & Brooks, 2008), especially those dealing with an alcohol dependency. According to Miller and Roderick, MI, has been defined mostly as a directive, client centered counseling approach for eliciting behavior change by helping clients to explore and resolve ambivalence. In addition, with its goal-orientated approach it can help break down resistance to change (Corey, 2013, pp. 191-194). This theoretical approach is the most favored for the environment in my profession of choice, in addition, integrating it with the practice of Cognitive Behavioral Therapy (CBT) which is already in use.

Counseling is a relatively young profession when compared to other mental health professions. In my brief personal and professional experience with the field, I have come to define counseling as a process of engagement between two people, both of whom are bound to change through a collaborative process that involves both the therapist and the client in co-constructing solutions to concerns.

Theories play an important role in how a counselor serves their clients. Theories provide counselors with a foundation on which to build their counseling style. “Theories ground us as professional counselors. They provide a means to understand what we are doing, how we are serving clients, and how to explain counseling to clients” (Erford, 2010). Counselors are responsible for being aware of different theories in order to apply them appropriately within their practice. Established and new theories play an important and constant role in mental health counseling. Established theories in mental health counseling are based on “empirical or scientific foundations” (American Counseling Association, 2005). The best way to gain the most

Motivational Interviewing (MI) refers to a client centred counselling approach, which is directed to enhance motivation in an individual for behaviour change Miller & Rollnick (as cited in Christopher & Dougher, 2009). MI as a method understands and accepts that the clients are at different levels of readiness to change their behavior. It consistently focuses on goals to prepare the client for transformation by providing motivation for commitment to change (Bricker & Tollison, 2011) in the domains of substance abuse, addiction and risky health problems. It proceeds to make the client aware of the causes, consequences and risks that could be a result of the behavior. Through this, the client foresees the possibilities of enhancement and becomes motivated to achieve it (Jenson, Cushing, Aylward, Craig, Sorell & Steel, 2011). MI is coherent with the